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Glendale - (623) 624-9747 Cave Creek - (480) 781-4843 North Phoenix - (602) 560-9049
  • About Us
  • Our Dentists
  • Dental Services
    • General Dentistry
    • Preventative Dental Care
    • Cosmetic Dentistry
    • Removable Dentistry
    • Periodontal Care
    • Orthodontics
    • Tooth Replacement
  • Resources
    • Forms
    • Our Dental Technology
    • Dental Savings Plan
    • Blog
    • Insurances
  • Locations
    • North Phoenix
    • Glendale
    • Cave Creek
  • Emergency Dental
Request Appointment

Forms

About Us Forms

BELOW ARE OUR NEW PATIENT FORMS AND HIPAA POLICY. PLEASE FILL OUT THESE FORMS ONLINE BEFORE YOUR APPOINTMENT SO WE CAN EXPEDITE YOUR FIRST VISIT.

Cave Creek

Cave Creek
Online New Patient
Registration

Register Now

Glendale

Glendale
Online New Patient
Registration

Register Now

North Phoenix

North Phoenix
Online New Patient
Registration

Register Now

All Locations

All Locations
Printable New Patient Registration Form

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HIPAA Consent

HIPAA Consent Form

Download Now

LOCATIONS

  • Glendale
    (623) 624-9747
  • Cave Creek
    (480) 781-4843
  • North Phoenix
    (602) 560-9049

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